GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world’s largest, rare disease data sets. For more information, please visit www.genedx.com.
Summary
The Sr. Director, Program Strategy and Optimization for the Payor Relationships & Reimbursement team is responsible for leading department strategies to optimize program management across Revenue Cycle Management (RCM), Market Access, and Government Affairs. Reporting to the Senior Vice President of Payor Relations & Reimbursement, this role works cross-functionally across the organization to influence operational excellence and continuous improvement to deliver best-in-class outcomes to maximize reimbursement, elevate market access relationships and drive effective government affairs.
Job Responsibilities
Strategic Leadership & Vision
- Develop and implement departmental goals for RMC optimization, ensuring alignment with business objectives.
- Lead the execution of annual plans for revenue cycle improvements, focusing on measurable financial and operational results.
People Management & Talent Development
- Directly manage and mentor managers and team leads across billing, market access, government affairs, with influence on client services, product & technology, and operations.
- Build high-performing teams through recruitment, coaching, professional development, and succession planning.
- Foster a culture of accountability, innovation, and continuous improvement.
Cross-Functional & Executive Collaboration
- Coordinate cross-functional teams to implement process improvements, best practices, and technology solutions for program optimization.
Operational Excellence
- Drive adoption of new processes and technologies, ensuring timely and accurate reporting and analytics.
- Oversee the implementation of data-driven solutions, ensuring timely and accurate reporting, analytics, and performance measurement.
Stakeholder Engagement & Communication
- Act as the primary liaison for internal and external stakeholders, ensuring alignment on program objectives, progress, and outcomes across Market Access, RCM, and Government Affairs.
- Present regular updates to senior leadership, highlighting key metrics, risks, and strategic recommendations.
Risk Management & Compliance
- Proactively identify and mitigate risks, ensuring compliance with regulatory requirements and industry standards across all program domains.
- Resolve or escalate issues promptly to minimize impact on project timelines and organizational goals.
Education, Experience, and Skills
- Bachelor’s degree required; Master’s degree in business, healthcare administration, public policy, or related field strongly preferred.
- 10+ years of progressive leadership experience in program management and financial/reimbursement systems related to laboratory and/or healthcare reimbursement
- Demonstrated success in managing teams, driving organizational change, and delivering strategic results.
- Exceptional communication, interpersonal, and influencing skills.
- Proven ability to lead cross-functional initiatives in a complex, fast-paced environment.
- Advanced proficiency in project management, analytics platforms, and data visualization tools.
Certificates, Licenses, Registrations
Relevant certifications (e.g., PMP, CRCR, CHFP) are a plus.
#LI-REMOTE
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Science - Minded, Patient - Focused.
At GeneDx, we create, follow, and are informed by cutting-edge science. With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care.
Experts in what matters most.
With hundreds of genetic counselors, MD/PhD scientists, and clinical and molecular genomics specialists on staff, we are the industry’s genetic testing experts and proud of it. We share the same goal as healthcare providers, patients, and families: to provide clear, accurate, and meaningful answers we all can trust.
SEQUENCING HAS THE POWER TO SOLVE DIAGNOSTIC CHALLENGES.
From sequencing to reporting and beyond, our technical and clinical experts are providing guidance every step of the way:
TECHNICAL EXPERTISE
- High-quality testing: Our laboratory is CLIA certified and CAP accredited and most of our tests are also New York State approved.
- Advanced detection: By interrogating genes for complex variants, we can identify the underlying causes of conditions that may otherwise be missed.
CLINICAL EXPERTISE
- Thorough analysis: We classify variants according to our custom adaptation of the most recent guidelines. We then leverage our rich internal database for additional interpretation evidence.
- Customized care: Our experts review all test results and write reports in a clear, concise, and personalized way. We also include information for research studies in specific clinical situations.
- Impactful discovery: Our researchers continue working to find answers even after testing is complete. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis. These efforts ultimately deliver more diagnostic findings to individuals.
Learn more About Us here.
Our Culture
At GeneDx, we are dedicated to cultivating an environment where creativity and innovation thrive. We believe in the power of community and collaboration, where diverse perspectives are embraced, and every voice contributes to our shared success. Our team is a vibrant mix of professionals who challenge and support each other in equal measure, fostering growth both personally and professionally. When you join us, you're not just taking on a job—you're joining a movement. A movement that champions curiosity, embraces change, and believes in making an impact, one patient at a time. Cultural principles we live by:
- Be bold in our vision & brave in our execution.
- Communicate directly, with empathy.
- Do what we say we're going to do.
- Be adaptable to change.
- Operate with a bias for action.
Benefits include:
- Paid Time Off (PTO)
- Health, Dental, Vision and Life insurance
- 401k Retirement Savings Plan
- Employee Discounts
- Voluntary benefits
GeneDx is an Equal Opportunity Employer.
All privacy policy information can be found here.
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